Byron Layne Stapleton
Surgery

Address: 300 Health Park Blvd Ste 5002, St Augustine, FL 32086
Phone: 9048195861

Byron Layne Stapleton (NPI# 1053610923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1053610923
Entity Type Individual
Full Name Byron Layne Stapleton
Credential DO
Gender Male
Practice Address 300 Health Park Blvd Ste 5002
St Augustine
FL 32086
Practice Telephone 9048195861
Practice Fax Number 9048195862
Mailing Address Po Box 3266
St Augustine
FL 32085-3266
Mailing Telephone 9048194602
Mailing Fax Number 9048194426
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2011-03-17
Last Update Date 2019-10-16

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 208600000X Surgery Allopathic & Osteopathic Physicians 34.012166 OH
Yes 208600000X Surgery Allopathic & Osteopathic Physicians OS16229 FL

Secondary Practice Locations

Address Telephone Number Fax Number
630 W Main St, Wilmington, OH 451772170 9372832520 9372832526

Physician Overview

NPI 1053610923
PAC ID by PECOS 9133342264
Professional Enrollment ID I20160927001707
Full Name Byron Layne Stapleton
Organization Legal Name WILMINGTON PHYSICIANS GROUP LLC
Phone Number 9373825438
Gender M
Graduation Year 2011
Primary Specialty GENERAL SURGERY
Group Practice PAC ID 4688853419
Number of Group Practice Members 31
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100090 FLAGLER HOSPITAL
360175 CLINTON MEMORIAL HOSPITAL

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558771238 Adnan Faruqi Surgery 1301 Plantation Island Dr S Ste 302a, St Augustine, FL 32080-3117 2014-05-02
1952364713 John S Koppman Surgery 201 Health Park Blvd, Suite 103, St Augustine, FL 32086-5796 2006-04-11
1508830480 George Edward Sadowski Surgery 2460 Old Moultrie Rd, St Augustine, FL 32086-4197 2006-02-15
1033763487 Flagler Professional Health Care Services Inc. Surgery 300 Health Park Blvd Ste 5002, St Augustine, FL 32086-3705 2019-07-24
1437684032 Jeremy Caudill Do Surgery 2460 Old Moultrie Rd Ste 3, St Augustine, FL 32086-4198 2017-04-21
1598192890 John S. Koppman Md Pl Surgery 201 Health Park Blvd, Ste 103, St Augustine, FL 32086-5796 2013-10-01
1417103045 Leopoldo B Gonzalez Md Pa Surgery 301 Health Park Blvd, Suite 323, St Augustine, FL 32086-5793 2008-08-14
1912052796 Luiz Carlos Kuntz Surgery 301 Health Park Blvd, Suite 323, St Augustine, FL 32086-5793 2007-01-24
1558460667 Ramanujam S Eyyunni Surgery 201 Health Park Blvd, Suite 107, St Augustine, FL 32086-5796 2006-09-22
1417054826 Surgical Associates of North Florida LLC Surgery 2460 Old Moultrie Road, Suite 2, St Augustine, FL 32086-4198 2006-09-20
Find all providers in ST AUGUSTINE

Office Location

Street Address 300 HEALTH PARK BLVD STE 5002
City ST AUGUSTINE
State FL
Zip Code 32086

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033763487 Flagler Professional Health Care Services Inc. Surgery 300 Health Park Blvd Ste 5002, St Augustine, FL 32086-3705 2019-07-24
1659888683 Whitney Marie Marema Registered Nurse 300 Health Park Blvd Ste 5002, St Augustine, FL 32086-3705 2017-12-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225670037 Ramonica Flagler Nurse Practitioner 3574 Us-1 South, St. Augustine, FL 32086 2019-10-14
1518522648 Marissa Marie Lynch Physician Assistant 100 Whetstone Pl Ste 102, St Augustine, FL 32086 2019-05-03
1346706991 Castillo Transportation Non-emergency Medical Transport (VAN) 295 North Hidden Tree Dr, Saint Augustine, FL 32086 2019-02-19
1790255842 Michelle Moore In Home Supportive Care 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 2018-12-03
1649740200 Paul James Lietz IIi Physical Therapist One Orthopedic Place, Saint Augustine, FL 32086 2018-11-27
1548764707 Oceanside Endodontics Od St. Augustine Dentist 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 2018-03-22
1023538329 Joseph R Edwards Physical Therapist 968 Espinado Avenue, St Augustine, FL 32086 2017-06-27
1235662032 Jennifer L Csenge Dentist 4327 Us Highway 1 S, St Augustine, FL 32086 2017-04-07
1336683663 Lisa Brice Social Worker 248 Southpark Circle East, Saint Augustine, FL 32086 2016-12-06
1558813303 Bio-medical Applications of Florida, Inc. Clinic/Center 65 Whitehall Drive, Saint Augustine, FL 32086 2016-10-27
Find all providers in zip 32086

Competitor

Search similar providers

City ST AUGUSTINE
Zip Code 32086

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.